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South Dakota rates for HCPCS 81225

CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.88 / $273.88 / $273.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.21 / $227.26 / $273.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.68 / $529.41 / $661.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.99 / $329.90 / $534.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $174.82 / $534.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.98 / $534.24 / $638.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.63 / $534.24 / $627.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.28 / $680.35 / $800.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.37 / $174.82 / $384.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.36 / $291.36 / $291.36